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ANJULI DOMINIQUE HOLMES
NPI 1609648641
Counselor - Professional in Kenosha, WI

Active since October 24, 2023PECOS Enrolled
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anjuli Dominique Holmes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANJULI DOMINIQUE HOLMES (NPI 1609648641) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (11710-125) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609648641
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANJULI DOMINIQUE HOLMES
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 652-1004
Phone(262) 652-2406
Sole ProprietorNo
Enumeration DateOctober 24, 2023
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1609648641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11710-125
Also ListedCounselorTaxonomy 101Y00000X · License 7641-226 (WI)
2108 63RD ST, Kenosha, WI 53143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anjuli Dominique Holmes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anjuli Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Services Group, Inc.
Same address
Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group
NPI 1619024262 (262) 652-2406

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARTZAHL LPC
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
MACKENZIE DODGE APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LAUREN WUENSTEL LCSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
COURTNEY JEAN NIELSEN APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
CASEY NICOLE GITTENS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAVID HOUGHTON MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
ZACHARY ALAN WEIS MS
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JASON HAJDUK
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anjuli Holmes's NPI number?

The NPI number for Anjuli Holmes is 1609648641. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Anjuli Holmes located?

Anjuli Holmes practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.

What is Anjuli Holmes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Anjuli Holmes enrolled in Medicare?

Yes. Anjuli Holmes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anjuli Holmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjuli Holmes reassigns Medicare benefits to Professional Services Group, Inc. (Kenosha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anjuli Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anjuli Holmes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 3 other insurers list Anjuli Holmes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anjuli Holmes was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.